{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:17:24Z","timestamp":1785406644003,"version":"3.56.0"},"reference-count":34,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000266","name":"U.K. Engineering and Physical Sciences Research Council (EPSRC) Centre for Doctoral Training in Prosthetics and Orthotics","doi-asserted-by":"publisher","award":["EP\/S02249X\/1"],"award-info":[{"award-number":["EP\/S02249X\/1"]}],"id":[{"id":"10.13039\/501100000266","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004440","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["208858\/Z\/17\/Z"],"award-info":[{"award-number":["208858\/Z\/17\/Z"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]},{"award":["208858\/Z\/17\/Z"],"award-info":[{"award-number":["208858\/Z\/17\/Z"]}],"id":[{"id":"https:\/\/ror.org\/029chgv08","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bioengineering"],"abstract":"<jats:p>Orthosis compliance monitoring provides insights into effective orthosis design and user wear time. Frequently, patient reports of orthosis use are subjective and often result in overestimation of compliance. Therefore, a tool to objectively observe whether patients wear their orthoses as instructed is vital. This study assessed the real-world practicality of using an objective compliance monitoring device with a hand orthosis. A device consisting of a pressure sensor and accelerometer was tested by ten healthy volunteers who wore a hand orthosis daily and completed a diary of their wear time and activities for a week. Sensor data obtained from the compliance monitoring device were analysed to discern each user\u2019s orthosis wear time. Differences between estimated wear time and actual wear time were insignificant. Pressure-based wear time estimations had a specificity of 99.3 \u00b1 0.7% and a sensitivity of 80.3 \u00b1 19.2%, whilst acceleration-derived estimations had a specificity of 94.5 \u00b1 6.4% and a sensitivity of 73.2 \u00b1 15.8%. This study demonstrated that orthosis compliance can be monitored outside the laboratory, and, furthermore, this device offers insights into the intensity and frequency of a user\u2019s activities and has the future potential to monitor orthosis fit and forces applied to affected joints using pressure.<\/jats:p>","DOI":"10.3390\/bioengineering13060697","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T07:33:54Z","timestamp":1781768034000},"page":"697","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Practicality of Using Pressure Sensors and Accelerometers to Quantify Hand Orthosis Compliance at Home"],"prefix":"10.3390","volume":"13","author":[{"given":"Devi Baruni","family":"Devanand","sequence":"first","affiliation":[{"name":"Department of Bioengineering, Imperial College London, London SW7 2AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8058-4186","authenticated-orcid":false,"given":"Matthew D.","family":"Gardiner","sequence":"additional","affiliation":[{"name":"Kennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, Oxford OX3 7FY, UK"},{"name":"Department of Plastic Surgery, Wexham Park Hospital, Frimley Health NHS Foundation Trust, Slough SL2 4HL, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7282-6651","authenticated-orcid":false,"given":"Angela E.","family":"Kedgley","sequence":"additional","affiliation":[{"name":"Department of Bioengineering, Imperial College London, London SW7 2AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Martin, E. 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